CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Mary Lanning Healthcare

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $49
  • Cash Discount Price: $101
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Mary Lanning Healthcare is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $101. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 1.69x the Medicare baseline. Located in 715 N St Joseph Ave, Hastings, NE.
Cash / Self-Pay
$101

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.06

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.06 (100%)
Cash / Self-Pay: $101 (348%)
Insurance Median: $49 (169%)
Cash: $101 (348% of Medicare)
Ins. Median: $49 (169% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.06 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $22 - $157 76%
Workers Compensation-All Plans $22 - $43 76%
Tricare $26 89%
Aetna $28 - $146 96%
Blue Cross Blue Shield $28 - $166 96%
Medica Mcr Adv $28 96%
Ne Total Care Mcr Adv $28 96%
Va Ccn - All Plans $28 96%
Consociate Inc-All Plans $43 - $139 148%
Ambetter / Centene $46 - $125 158%
Medica-All Other Plans $49 - $144 169%
Midlands Choice-All Plans $49 - $149 169%
Multiplan-All Plans $52 - $157 179%
Provider Network Of America-All Plans $52 - $149 179%
Nhn/Mna-All Plans $53 - $134 182%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 715 N St Joseph Ave, Hastings, NE 68901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals